Individual
MR. HENRY MADDOX MATTHEWS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Contact information
Practice address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 264-0966
(804) 264-1029
Mailing address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 264-0966
(804) 264-1029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0701003879
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710101983
VA
Other
Enumeration date
06/23/2006
Last updated
10/23/2023
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